喫煙が肺を硬化させる仕組みを解明(What we now know about how smoking stiffens lungs)

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2026-05-18 カリフォルニア大学リバーサイド校(UCR)

米国のカリフォルニア大学リバーサイド校の研究チームは、喫煙が肺組織を硬化させる分子メカニズムを解明した。研究では、タバコ煙への曝露によって肺細胞周辺の細胞外マトリックス構造が変化し、コラーゲン沈着や組織再構築が進行することを確認した。その結果、肺の弾性が低下し、呼吸機能障害や慢性閉塞性肺疾患(COPD)の進行につながる可能性が示された。さらに、炎症反応と細胞間シグナル伝達が線維化を促進する重要因子として特定された。研究者らは、肺硬化は単なる受動的損傷ではなく、細胞レベルの活発な病理過程であると指摘している。また、本成果は、喫煙関連肺疾患の早期診断や抗線維化治療開発に役立つ可能性があるという。

<関連情報>

ヒト肺実質:引張力学と喫煙の影響 Human lung parenchyma: tensile mechanics and the effects of smoking

Talyah M. Nelson;Mona Eskandari
Journal of the Royal Society Interface  Published:13 May 2026
DOI:https://doi.org/10.1098/rsif.2025.0721

喫煙が肺を硬化させる仕組みを解明(What we now know about how smoking stiffens lungs)

Abstract

Pulmonary disease is a globally leading cause of morbidity and mortality, largely attributable to the lung’s chronic particulate inhalation. Pervasive environmental hazards and, notably, habitual smoking produce inflammation and damage, consequently changing tissue- and organ-scale mechanical properties. While the parenchyma is regarded as a site of major disease manifestation, the mechanical characterization remains remarkably lacking, and even more rare for human lungs and considerations of material property changes from disease-induced factors, such as smoking. Such limitations hinder our understanding of how basic and pathologically impacted mechanics influence respiratory function. To address this substantial knowledge gap, for the first time, we quantify the tensile elastic and energetic properties of isolated parenchymal regions from eight transplant-eligible or research-designated donor lungs and evaluate smoking effects through an established theoretical model. The parenchyma is generally found to be highly compliant and regionally variant. Smoking demonstrates behaviours akin to fibrosis, with greater final stiffness moduli in smokers (238.6 ± 128.5 kPa) compared with non-smokers (86.5 ± 60.0 kPa). This study critically advances our understanding of human lung mechanics and enables clinically relevant insights by delivering a remarkably valuable database of material property features, notable when considering the current over-reliance on animal models and the scarcity of donor human organs.

医療・健康
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